2016-05-12T04:01:20-05:00 2015-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2014-07-01 521362793 UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORP % S MICHELLE LEE UNIV 4103281375 22 South Greene Street Baltimore MD 21201 henry j franey evp/cfo 4103281375 2016-05-05 true Frank Giardini P00532355 2155614200 2014 2016-08-17 19:52:53Z Robert Chrencik 250 W Pratt St Baltimore MD 21201 2128277410 false X www.umms.org X 1984 MD UMMS PROVIDES A VARIETY OF INPATIENT/ OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SVCS. 28 28 14350 1271 337583 -1439307 11974136 11089122 1769658811 1814589337 9306526 11049490 33327555 32615883 1824267028 1869343832 438045 1013801 0 0 812125038 863869902 0 0 0 993952293 963512849 1806515376 1828396552 17751652 40947280 3244090766 3147272937 2066674817 1958832650 1177415949 1188440287 X UMMS PROVIDES A VARIETY OF INPATIENT/OUTPATIENT SERVICES TO PEOPLE IN THE MARYLAND AREA REGARDLESS OF THEIR ABILITY TO PAY. REVENUES ARE USED TO HELP DEFRAY THE COSTS OF SERVICES PROVIDED. false false 900099 1612460111 1013801 1823767870 UMMS, A PRIVATE, NON-PROFIT HEALTH SYSTEM, CONSISTS OF 13 HOSPITALS - THE UNIVERSITY OF MARYLAND MEDICAL CENTER (UMMC), THE ACADEMIC "HUB" - AND THE 12 COMMUNITY AND SPECIALTY HOSPITALS THROUGHOUT THE STATE OF MARYLAND. UMMC IS A NATIONAL AND REGIONAL REFERRAL CENTER FOR TRAUMA, CANCER CARE, NEUROCARE, CARDIAC CARE AND HEART SURGERY, WOMEN'S AND CHILDREN'S HEALTH AND ORGAN TRANSPLANTS. IT HAS ONE OF THE MOST TECHNOLOGICALLY ADVANCED OPERATING ROOM FACILITIES AND IS INTERNATIONALLY RECOGNIZED FOR ITS LEADERSHIP IN DEVELOPING AND PERFORMING MINIMALLY INVASIVE SURGICAL PROCEDURES. UMMS PROVIDES CHARITY CARE TO PATIENTS UNABLE TO PAY. CHARITY CARE FOR THE YEAR ENDED 6/30/2015 IS APPROXIMATELY $46,150,257 AT COST. 1612460111 true true false true false false false false false true false false true true true false true false false true false false false false false true true true false true true false false false false false false false false false true false false false false true true true true false false true 1068 0 true 14350 true true true true CJ false false false false false false false false X 28 28 false false false false false false false true true false false true true true true true true true true true true MD X X S MICHELLE LEE 4103281376 250 WEST PRATT ST SUITE 1400 Baltimore MD 21201 X GEORGES C BENJAMIN MD DIRECTOR 1.0 0.0 X 0 0 0 STEPHEN A BURCH ESQ DIRECTOR 1.0 0.0 X 0 0 0 DELEGATE MICHAEL E BUSCH DIRECTOR 1.0 0.0 X 0 0 0 R ALLEN BUTLER DIRECTOR 1.0 0.0 X 0 0 0 JOHN P COALE ESQ DIRECTOR 1.0 0.0 X 0 0 0 ATWOOD COLLINS III DIRECTOR 1.0 0.0 X 0 0 0 GILBERTO DE JESUS ESQ DIRECTOR 1.0 0.0 X 0 0 0 CONNIE G DEJULIUS DIRECTOR 1.0 0.0 X 0 0 0 JOHN W DILLON DIRECTOR 1.0 0.0 X 0 0 0 ALAN H FLEISCHMANN DIRECTOR 1.0 0.0 X 0 0 0 WAYNE L GARDNER SR DIRECTOR 1.0 0.0 X 0 0 0 LOUISE MICHAUX GONZALES ESQ DIRECTOR 1.0 0.0 X 0 0 0 BARRY P GOSSETT DIRECTOR 1.0 0.0 X 0 0 0 ROOMINA ANWER HASAN MD DIRECTOR 1.0 0.0 X 0 0 0 ORLAN M JOHNSON ESQ DIRECTOR 1.0 0.0 X 0 0 0 SENATOR EDWARD J KASEMEYER DIRECTOR 1.0 0.0 X 0 0 0 SENATOR FRANCIS X KELLY DIRECTOR 1.0 0.0 X 0 0 0 BELKIS LEONG-HONG DIRECTOR 1.0 0.0 X 0 0 0 SARA A MIDDLETON DIRECTOR 1.0 0.0 X 0 0 0 KEVIN B O'CONNOR DIRECTOR 1.0 0.0 X 0 0 0 ROBERT L PEVENSTEIN DIRECTOR 1.0 0.0 X 0 0 0 D BRUCE POOLE ESQ DIRECTOR 1.0 0.0 X 0 0 0 SENATOR CATHERINE E PUGH DIRECTOR 1.0 0.0 X 0 0 0 JAMES T SMITH JR DIRECTOR 1.0 0.0 X 0 0 0 WALTER A TILLEY JR DIRECTOR 1.0 0.0 X 0 0 0 SENATOR JOSPEH D TYDINGS DIRECTOR 1.0 0.0 X 0 0 0 W MOORHEAD VERMILYE DIRECTOR 1.0 0.0 X 0 0 0 LOUIS L ZAGARINO DIRECTOR 1.0 0.0 X 0 0 0 ROBERT A CHRENCIK PRESIDENT AND CEO 40.0 10.0 X 6881071 0 21095 HENRY J FRANEY CFO- UMMS/TREASURER 40.0 10.0 X 1214368 0 21095 MEGAN M ARTHUR SVP & GEN COUNSEL/ SEC'TY 40.0 10.0 X 666842 0 24652 JEFFERY A RIVEST PRESIDENT & CEO - UMMC 40.0 10.0 X 1173898 0 20269 LISA C ROWEN SVP & CNO - UMMC 40.0 10.0 X 525960 0 25595 WALTER ETTINGER SVP & CMO - UMMS 40.0 10.0 X 797839 0 105561 JON P BURNS SVP & CIO 40.0 10.0 X 591209 0 20269 JONATHAN E GOTTLIEB SVP & CMO 40.0 10.0 X 1057190 0 21095 KEITH D PERSINGER SVP & CFO UMMC 40.0 10.0 X 759851 0 16812 DAVID P SWIFT SVP - Chief HR Officer 40.0 10.0 X 585112 0 10400 JOHN W ASHWORTH III SVP NETWORK DEVELOPMENT 40.0 10.0 X 597210 0 21095 GARY H KANE VP - SUPPLY CHAIN MGMT 40.0 10.0 X 595179 0 21095 KENNETH LEWIS EXECUTIVE - UNION OF CECIL 40.0 10.0 X 778526 0 25942 MARK KELEMEN CHIEF MEDICAL INFO OFFICER 40.0 10.0 X 514341 0 25615 ALISON G BROWN SVP PLANNING & MARKETING 40.0 10.0 X 583957 0 25595 17322553 0 406185 634 false true false The Whiting Turner Contracting Comp 300 East Joppa Road TOWSON MD 21286 General Contractors 16087880 Huntzinger Staffing Solutions LLC 670 North River Street PLAINS PA 18705 Staffing 13518043 Towson Orthopedics 8322 Belona Ave BALTIMORE MD 21204 billing & mgmt 10553040 Turner Construction Co 1500 Spring Garden Street Suite 22 PHILADELPHIA PA 19130 General Contractors 8910152 EMC Corporation 4246 Collections Center Drive CHICAGO IL 60693 software 8024435 329 7869857 3200000 19265 11089122 PATIENT SERVICE REVENUE 900099 1741832187 1741306691 525496 PHARMACY 900099 72757150 72407091 350059 1814589337 3521585 3521585 0 0 4563779 1771257 2792522 0 2792522 3525452 -732930 264690226 257162321 7527905 7527905 7527905 0 0 0 STIPEND ENTRY 900099 8047479 8047479 INCOME FROM JOINT VENTURE 900099 4126200 1617240 2508960 CAFETERIA 900099 3177135 3177135 14472547 1734261 194958 12543328 29823361 1869343832 1823767870 337583 34149257 1013801 1013801 0 0 0 20579169 15784581 4794588 0 691857906 590097558 101760348 21483066 16472353 5010713 81275231 68241804 13033427 48674530 41489467 7185063 1207394 977989 229405 4285429 313541 3971888 2481315 2481315 81924 81924 0 0 179680003 151801307 27878696 6169482 1188782 4980700 10780981 9227348 1553633 48279153 40931396 7347757 0 21680577 18654979 3025598 1250972 1071324 179648 0 546840 470282 76558 40931207 34508130 6423077 0 98291897 83855366 14436531 27057632 23576776 3480856 BAD DEBT EXPENSE 51557570 51557570 MEDICAL SUPPLIES 377786137 377718706 67431 UTILITIES 30745652 26224476 4521176 TRANSPLANT COSTS 21049134 21049134 39649550 36233441 3416109 1828396552 1612460111 215936441 0 123262145 252299871 576603 648236 0 0 196319650 183589273 0 0 0 0 2734105 1933322 29585325 32251958 8310507 8327116 2150146999 1020958593 1101382026 1129188406 234828000 141618000 126987769 143025000 0 0 0 0 1420104636 1254391755 3244090766 3147272937 295461886 299797345 0 0 125419 125419 1109015207 920693000 0 0 0 0 0 0 248904469 243823209 413167836 494393677 2066674817 1958832650 X 952985876 966240836 222741334 220510712 1688739 1688739 1177415949 1188440287 3244090766 3147272937 X 40947280 -17300925 -12622017 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 81924 81924 false Other Activities Schedule C, Part II-B, Line 1i The organization does not engage in any direct lobbying activities. The organization pays membership dues to the Maryland Hospital Association (MHA) and the American Hospital Association (AHA). MHA and AHA engage in many support activities including lobbying and advocating for their member hospitals. The MHA and AHA reported that 4.80% and 22.80% of member dues were used for lobbying purposes and as such, the organization has reported this amount on Schedule C Part IV as lobbying activities. 87305286 87305286 1158926081 478284099 680641982 5846137 3153651 2692486 743699679 538661961 205037718 154369816 858882 153510934 1129188406 ECONOMIC INTEREST IN ASSETS OF 200019688 DEFERRED FINANCING COSTS 10116504 ASSETS WHOSE USE IS LIMITED 223631000 INVESTMENT IN SUBSIDIARIES 653631216 OTHER RECEIVABLES 161050942 LIMITED USE ASSET - DEBT SERVI 31669401 LIMITED USE ASSET - MALPRACTIC 8785789 ECONOMIC INTEREST IN FOUNDATIO 9502627 LONG-TERM INVESTMENT - MRI 6714301 DUE FROM AFFILIATES - NOTES RE -57596187 OTHER ASSETS 6866474 1254391755 0 ADVANCES FROM 3RD PARTY PAYORS 89201419 DUE TO AFFILIATE 120107999 OTHER LIABILITIES 106449961 INT RATE SWAPS MARK TO MARKET 167520000 OTHER MALPRACTICE 8954231 RETIRE PENSION 2160067 494393677 X Schedule D, Part X FIN 48 FOOTNOTE PER AUDIT REPORT The University of Maryland Medical System Corporation (The Corporation) adopted the provisions of ASC 740, Accounting for Uncertainty in the Income Taxes (FIN 48) on July 1, 2007. The footnote related to ASC 740 in the Corporation's audited financial statements is as follows: The Corporation follows a threshold of more-likely-than-not for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Management does not believe that there are any unrecognized tax benefits that should be recognized. false Central America and the Caribbean Investments 99702640 99702640 99702640 true false true false false false true true true X true true true false true true 46150266 46150266 0.02600 46150266 46150266 0.02600 5460359 304988 5155371 0.00290 132465043 132465043 0.07460 47896400 11121467 36774933 0.02070 695821 33828 661993 0.00040 461256 461256 0.00030 186978879 11460283 175518596 0.09890 233129145 11460283 221668862 0.12490 5559 5559 34017 34017 587712 587712 0.00030 102832 102832 0.00010 422336 80000 342336 0.00020 1152456 80000 1072456 0.00060 true 36744105 515751420 484736452 31014968 X true true 2 1 University of Maryland Hospital 22 S Greene Street Baltimore MD 21201 http://umm.edu 30-068 X X X X X A 2 UMMS St Joseph Medical Center LLC 250 West Pratt Street Baltimore MD 21201 HTTP://WWW.STJOSEPHTOWSON.COM/ 03-079 X X X UNIVERSITY OF MARYLAND HOSPITAL 1 false false true X X X X X X X X X 15 true true true true X HTTP://UMM.EDU/ X true 15 true http://umm.edu/ false false true X 200. 500. X X X X X X true true X X X X true X HTTP://UMM.EDU/ X X X X true false X X X X X true X false false UMMS St Joseph Medical Center LLC 2 false false true X X X X X X X X X 13 true true true true X HTTP://WWW.STJOSEPHTOWSON.COM/ X true 13 true http://www.stjosephtowson.com/ false false true X 200. 500. X X X X X X true true X X X X true X http://www.stjosephtowson.com/ X X X X true false X X X X X true X false false University of Maryland Hospital - 1 Schedule H, Part V, Section B Line 13h - The financial assistance policy explains several eligibility criteria, including participation in Medicaid/Medicare programs as well as eligibility under various state regulations. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. Line 22D - All patients are charged state regulated rates, regardless of their ability to pay. Line 24 - The State of Maryland is a unique state in regard to the provision of health care services and their related charges by hospitals. All hospital charges processed to all payors, including governmental payors, are set through Maryland's Health Services Cost Commission. Accordingly, all hospital charges are not gross charges as defined by the IRS under Internal Revenue Code Section 501(r)(5)(b). UMMS St. Joseph Medical Center, LLC - 2 Schedule H, Part V, Section B Line 13h - The financial assistance policy explains several eligibility criteria, including participation in Medicaid/Medicare programs as well as eligibility under various state regulations. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. Line 22D - All patients are charged state regulated rates, regardless of their ability to pay. Line 24 - The State of Maryland is a unique state in regard to the provision of health care services and their related charges by hospitals. All hospital charges processed to all payors, including governmental payors, are set through Maryland's Health Services Cost Commission. Accordingly, all hospital charges are not gross charges as defined by the IRS under Internal Revenue Code Section 501(r)(5)(b). 1 UniversityCare Edmondson Village 4538 Edmondson Ave Baltimore MD 21229 Healthcare Clinic Related Organization Benefit Report Schedule H, Part I, Line 6a An annual Community Benefit Report is prepared for each fiscal year ending June 30. This report is submitted to the Health Services Cost Review Commission (HSCRC), a state regulatory agency, by December 15 of each year. In addition, the annual Community Benefit Report is available upon request at the entity's corporate offices. Costing Methodology Schedule H, Part I, Line 7 Schedule H, Line 7a, Column (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Schedule H, Line 7b, Columns (c) through (f) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payor's rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community benefit expenses are equal to Medicaid revenues in Maryland, as such, the net effect is zero. Additionally, net revenues for Medicaid should reflect the full impact on the hospital of its share of the Medicaid assessment. Schedule H, Line 7f Column (c) & (d) - Maryland's regulatory system creates a unique process for hospital payment that differs from the rest of the nation. The Health Services Cost Review Commission, (HSCRC) determines payment through a rate setting process and all payors, including governmental payors, pay the same amount for the same services delivered at the same hospital. Maryland's unique all payor system includes a method for referencing Uncompensated Care in each payors' rates, which does not enable Maryland hospitals to breakout any offsetting revenue related to Uncompensated Care. Community Building Activities - UMMSC Schedule H, Part II Through a variety of community building activities, UMMC promotes health and wellness in the communities it serves. These activities include community support, coalition building and community health improvement advocacy. In FY15, UMMC associates served in many capacities. UMMC provides leadership to many Baltimore City coalitions and collaborative partnerships to improve community health. UMMC leadership staff play key roles on the Baltimore City Health Department's Cardiovascular Disease, Tobacco, and Flu coalitions. These Coalitions are a partnership of public sector agencies, health care providers and payers, community-based partners, the business community and academic institutions. Examples of health policy advocacy worked on in these coalitions have included hookah legislation and healthier kids' meals at fast food restaurants. UMMC staff also participated in a variety of career fairs and youth mentoring programs. Additionally, key UMMC executives serve on several Boards of Directors for a variety of non-profit agencies in Baltimore City and provide their leadership expertise to build the capacity of local community resources. Lastly, UMMC has supported the Southwest Partnership which is a coalition of UM Baltimore Professional Schools, UMMC, and other community agencies to revitalize Baltimore's Southwest community. All of these examples demonstrate collaborative efforts to address health issues and advocate for policies and programs that improve health in the communities we serve. Community Building Activities - UMSJMC Schedule H, Part II UM-St. Joseph Medical Center collaborates with over 30 groups, organizations and agencies outside the hospital to design and participate in initiatives that promote coalition building and community health improvement advocacy. These organizations include but are not limited to: Partners/Sites of Services: - Baltimore County Department of Aging - Calvert Hall High School - Catholic Charities - Catholic High School - Cristo Rey Jesuit High School - Department of Health and Mental Hygiene- Healthy Heart Beats at Govans Manor - Greetings & Readings Hunt Valley - Halstead Academy Elementary School - Health Park at Hereford - Hopkins Village - Marian House - McCormick & Co. - Mercy Ridge Retirement Community - Mt. Calvary AME- Biggest Loser Competition - Oak Crest Retirement Community - St. Joseph Parish Cockeysville - St. Michael the Archangel - Towson University - Towson Y - Wellwood International Elementary School Cancer specific collaboration: - Maryland Cancer Collaborative Steering Committee Representative/ Responsible for implementing the Maryland Cancer Control Plan - Maryland Patient Navigation Collaborative Leadership Committee Member - Baltimore County Cancer Coalition Member - Nueva Vida Cancer Support for Latinas/ Monthly Breast Screening - Mt. Calvary AME Church Educational Activities - University of MD. Outreach and Advocacy Coalition - American Cancer Society - GEDCO - Komen Disparities Conference for Community - Advanced Radiology Partnership to support the Monthly Breast Screening Program - Hoffberger Foundation - Baltimore Gas and Electric Bad Debt Expense Schedule H, Part III, Line 2 & 4 In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame. Medicare Cost Report Schedule H, Part III, Line 8 In Maryland, The Health Services Cost Review Commission (HSCRC) started setting hospital rates in 1974. At that time, the HSCRC approved rates applied only to commercial insurers. In 1977, the HSCRC negotiated a waiver from Medicare hospital payment rules for Maryland hospitals to bring the federal Medicare payments under HSCRC control. Medicare reimburses Maryland hospitals according to rates established by the HSCRC as long as the State continues to meet a two-part test. This two-part waiver test allows Medicare to participate in the Maryland system as long as two conditions are met. - all other payers participating in the system pay HSCRC set rates and - the rate of growth in Medicare payments to Maryland hospitals from 1981 to the present is not greater than the rate of growth in Medicare payments to hospitals nationally over the same time frame. Collection Practices Schedule H, Part III, Line 9b The organization expects payment at the time the service is provided. Our policy is to comply with all state and federal law and third party regulations and to perform all credit and collection functions in a dignified and respectful manner. Currently, UMMS is in the process of updating its billing and collections process to ensure it is in compliance with the new IRC Section 501(r) regulations. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the Financial Assistance Policy. The organization does not discriminate on the basis of age, race, creed, sex or ability to pay. Patients who are unable to pay may request a Financial Assistance application at any time prior to service or during the billing and collection process. The organization may request the patient to apply for Medical Assistance prior to applying for financial assistance. The account will not be forwarded for collection during the Medical Assistance application process or the Financial Assistance application process. Community Health Care Needs Assessment - UMMSC Schedule H, Part VI, Line 2 The University of Maryland Medical Center (UMMC) completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2015. This was the second CHNA completed with the first one done and reported in Fiscal Year 2012. The Association for Community Health Improvements (ACHI) 6-step Community Health Assessment Process was utilized as an organizing methodology. The UMMC/Midtown Community Health Improvement Team (CHI Team) served as the lead team to conduct the CHNA with input from other University of Maryland Medical System Baltimore City-based hospitals, community leaders, the academic community, the public, health experts, and the Baltimore City Health Department. In addition to using the ACHI 6-step process to lead the assessment process, the UMMC/Midtown CHI Team used an additional 5-component assessment and engagement strategy to lead the data collection methodology. The University of Maryland Medical Center (UMMC) is an 800-bed academic medical center which is part of the University of Maryland Medical System. Despite the larger regional patient mix of UMMC from the metropolitan area, state, and region, for purposes of community benefits programming and this report, the Community Benefit Service Area (CBSA) of UMMC is within Baltimore City. The top nine zip codes within Baltimore City represent the top 66% of all Baltimore City admissions in FY14. These nine targeted zip codes are: 21201 21215 21216 21217 21218 21206 21223 21229 21230 The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City. There are significant health disparities in these zip codes when compared to other zip codes in Baltimore City and Maryland. Using the above frameworks, data was collected from multiple sources, groups, and individuals and integrated into a comprehensive document which was utilized at a retreat on March 11, 2014 of the UMMC/Midtown Community Health Improvement (CHI) Team. During that strategic planning retreat, priorities were identified using the collected data and an adapted version of the Catholic Health Associations (CHA) priority setting criteria. The identified priorities were also validated by a panel of UM Clinical Advisors and UMB Campus experts. UMMC used primary and secondary sources of data as well as quantitative and qualitative data and consulted with numerous individuals and organizations during the CHNA, including other University of Maryland Medical System (UMMS) Baltimore City-based hospitals (University of Maryland Medical Center Midtown Campus, University of Maryland Rehabilitation and Orthopedic Institute, and Mt Washington Pediatric Hospitals), community leaders, community partners, the University of Maryland Baltimore (UMB) academic community, the general public, local health experts, and the Baltimore City Health Department. A) Community Perspective The communitys perspective was obtained through one survey offered to the public using several methods throughout Baltimore City. A 6-item survey queried Baltimore City residents to identify their top health concerns and their top barriers in accessing health care. (See Appendix for the actual survey) Methods: 6-item survey distributed in FY2015 using the following methods: - Survey insert in Maryland Health Matters (health newsletter) distributed to over 40,000 residents within the CBSA - Online survey posted to www.umm.edu website for community to complete - Waiting rooms (Ambulatory clinics and EDs) at both campuses - Health fairs and events in neighborhoods within UMMCs CBSA Results: Top 5 Health Concerns: - Diabetes/Sugar - Smoking/Drug/Alcohol Use - High Blood Pressure/Stroke - Cancer - Heart Disease Analysis by CBSA targeted zip codes revealed the same top health concerns and top health barriers with little deviation from the overall Baltimore City data. The sample size was 1,212 Baltimore City residents from the identified CBSA. B) Health Experts Methods: - Reviewed & included National Prevention Strategy Priorities, Maryland State Health Improvement Plan (SHIP) indicators, and Healthy Baltimore 2015 plan from the Baltimore City Health Department - Reviewed Marylands State Health Improvement Plan (SHIP) and attended state-wide health summit in October 2014. - Progress to date on SHIP measures were presented as well as state-wide health priorities for upcoming multi-year cycle. - Conducted campus-wide stakeholder retreat in March 2015, including University of Maryland Schools of Medicine, Nursing, Social Work and UMB Community Affairs office - Interviewed Director of Chronic Disease Prevention at Baltimore City Health Department Results: - National Prevention Strategy 7 Priority Areas - SHIP: 39 Objectives in 5 Vision Areas for the State, includes targets for Baltimore City - While progress has been made since 2012 - with 16 out of 41 measures meeting the identified targets at the state level, Measures within Baltimore City have not met identified targets; Even wider minority disparities within the City. - Healthy Baltimore 2015: Ten Priority Areas (See Figure 4) - Baltimore City Health Department and Mayors Top Health Priorities: #1 Cardiovascular Disease (CVD) Decrease premature mortality (as defined as death prior to 75 years) #2 Asthma - Particularly pediatric asthma #3 Heroin Use While a priority, no major initiatives to date #4 Diabetes As related to CVD as a comorbidity - Health Expert UMB Campus Panel Focus Group Top Action Items included: - Improve communication and synergy across Campus schools and UMMC - Include University of Maryland Medical Center on UMB Community Action Council - Look for ways to partner and support each other C) Community Leaders Methods: - Hosted a focus group in collaboration with the other Baltimore-based UMMS hospitals for community-based organization partners to share their perspectives on health needs (October 30, 2014) Results: - Consensus reached that social determinants of health (and upstream factors) are key elements that determine health outcomes - Top needs and barriers were identified as well potential suggestions for improvement and collaboration (See Appendix 4 for details) - Top Needs: - Health Literacy - Employment/Poverty - Mental/Behavioral Health - Cardiovascular Health (obesity, hypertension, stroke, & diabetes) - Maternal/Child Health focusing on promoting a healthy start for all children Top Barriers: - Focusing on the outcome and not the root of the problems (i.e. SDoH) - Lack of inter-agency collaboration/working in silos Suggestions for Improvement: - Leverage existing resources - Increase collaboration - Focus on Social Determinants of Health - Enhance behavioral health resources D) Social Determinants of Health (SDoH) Defined by the World Health Organization as: 'the conditions in which people are born, grow, live, work and age.' Methods: - Reviewed data from Baltimore Neighborhood Indicator Alliance (Demographic data and SDoH data) - Reviewed data from identified 2011 Baltimore City Health Departments Baltimore City Neighborhood Profiles, - Reviewed Baltimore City Food Desert Map Results: - Baltimore City Summary of CBSA targeted zip codes - Top SDoHs: - Low Education Attainment (52.6% w/ less than HS degree) - High Poverty Rate (15.7%)/High Unemployment Rate (11%) - Violence - Poor Food Environment - Housing Instability E) Health Statistics/Indicators Methods: Review annually and for this triennial survey the following: Local data sources: - Baltimore City Health Status Report - Baltimore Health Disparities Report Card - Baltimore Neighborhood Health Profiles - DHMH SHIP Biennial Progress Report 2012-2014 National trends and data: - Healthy People 2020 - County Health Rankings - Centers for Disease Control reports/updates - F as in Fat: Executive Summary (RWJF) Results: - Baltimore City Health Outcomes Summary for CBSA-targeted zip codes - Top 3 Causes of Death in Baltimore City in rank order: 1. Heart Disease 2. Cancer 3. Stroke - Cause of Pediatric Deaths - High rate of Infant Mortality Selecting Priorities: Analysis of all quantitative and qualitative data described in the above section identified these top five areas of need within Baltimore City. These top priorities represent the intersection of documented unmet community health needs and the organizations key strengths and mission. These priorities were identified and approved by the UMMC/Midtown CHI Team and validated with the health experts from the UMB Campus Panel: 1. Cardiovascular Disease 2. Workforce Development (as a shared component of literacy and SDoH) 3. Maternal & Child Health 4. Violence Prevention (related to behavioral/mental health) 5. Health Literacy (shared UMMS priority) In addition to the identified strategic priorities from the CHNA, UMMC employs the following prioritization framework which is stated in the UMMC Community Outreach Plan. Because the Medical Center, serves the region and state, priorities may need to be adjusted rapidl Community Health Care Needs Assessment - UMSJMC Schedule H, Part VI, Line 2 The University of Maryland St. Joseph Medical Center completed a comprehensive community health needs assessment (CHNA) in Fiscal Year 2013. Community Benefits planning is part of the hospitals strategic plan. The stakeholders in the hospital who are involved in the hospital community benefit process/structure to implement and deliver community benefit activities include the CEO, CFO, Vice President of Mission Integration, and Senior Director of Marketing and Community Health. Our CEO provides the value orientation of all leadership and management to our community benefit activities. Our CFO instructs our local financial team to provide assistance in compiling financial data for the annual CBR. Our Vice President for Mission Integration is tasked with educating the entire medical center community about community benefit-eligible activity and educating staff in the use of CBISA, and is also responsible for compiling the annual CBR. Our Director of Marketing and Community Health provides leadership to the community health outreach team. The members of clinical leadership in the hospital who are involved in the hospital community benefit process/structure to implement and deliver community benefit activities include the Chief Medical Officer, Chief Nursing Officer, and Supervisor of Case Management. Our Chief Medical Officer helps educate all the physicians regarding the importance of uncompensated care as part of the services they provide. Our Chief Nursing Officer encourages all the nurse managers to become familiar with what constitutes community benefit-eligible activity. Our Supervisor of Case Management has social workers working quickly with patients and families who are identified as having financial difficulties. The Community Benefit Department/Team includes: - Vice President for Mission Integration - Oncology Outreach Program Coordinator - Community Health Specialist - Nurse Manager of our free clinic - Director of Revenue Cycle/Managed Care - Decision Support Analyst - Diabetes educator Our oncology center has a part-time employee who serves as Oncology Outreach Program Coordinator. We have two full-time Community Health Specialists who coordinate work in the community to provide preventive care such as flu shots and bone density screenings at no cost to participants. We also have a Nurse Manager of our St. Clare Medical Outreach Clinic, a free clinic for those who have no health insurance whatsoever. There is an internal audit (i.e., an internal review conducted at the hospital) of the Community Benefit report. Our Chief Financial Officer oversees a team of internal and external financial analysts who prepare the hospitals annual audit. This same team then provides the financial spreadsheet for the CBR. This is ultimately approved by our CFO. There is no narrative accompanying our audit of the CBR. The hospitals Board reviews and approves the FY Community Benefit report that is submitted to the HSCRC. COMMUNITY BENEFIT EXTERNAL COLLABORATION External collaborations are highly structured and effective partnerships with relevant community stakeholders aimed at collectively solving the complex health and social problems that result in health inequities. Maryland hospital organizations should demonstrate that they are engaging partners to move toward specific and rigorous processes aimed at generating improved population health. Collaborations of this nature have specific conditions that together lead to meaningful results, including: a common agenda that addresses shared priorities, a shared defined target population, shared processes and outcomes, measurement, mutually reinforcing evidence based activities, continuous communication and quality improvement, and a backbone organization designated to engage and coordinate partners. The hospital organization engages in external collaboration with the following partners: - Local health improvement coalitions (LHICs) - Faith based community organizations No member of the hospital organization co-chairs the Local Health Improvement Coalition (LHIC) in the jurisdictions where the hospital organization is targeting community benefit dollars? No member of the hospital organization attends or is a member of the LHIC in the jurisdictions where the hospital organization is targeting community benefit dollars. Eligibility Education & FINANCIAL ASSISTANCE - UMMSC Schedule H, Part VI, Line 3 University of Maryland Medical UMMS is committed to providing financial assistance to persons who have health care needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay, for medically necessary care based on their individual financial situation. In compliance with the new IRC Section 501(r) regulations UMMS is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. It is the policy of the UMMS Entities to provide Financial Assistance based on indigence or high medical expenses for patients who meet specified financial criteria and request such assistance. The Financial Clearance Program Policy is a clear, comprehensive policy established to assess the needs of particular patients that have indicated a possible financial hardship in obtaining aid when it is beyond their financial ability to pay for services rendered. UMMC makes every effort to make financial assistance information available to our patients including, but not limited to: - Signage in main admitting areas and emergency rooms of the hospital - Patient Handbook distributed to all patients - Brochures explaining financial assistance are made available in all patient care areas - Patient Information Sheets (available in English & Spanish) - Appearing in print media through local newspapers Eligibility Education & FINANCIAL ASSISTANCE - UMSJMC Schedule H, Part VI, Line 3 Our financial assistance policy and the communication about our financial assistance policy is regularly reviewed to make sure it is available to our patients in a variety of formats and that it is available in culturally/linguistically sensitive manner and at a reading comprehensive level appropriate to the population of our CBSA. In compliance with the new IRC Section 501(r) regulations UMSJMC is currently in the process of updating their Financial Assistance Policy to ensure its compliance with IRS regulations. The availability of financial assistance for patients who would otherwise be billed for services about their eligibility for assistance under federal, state or local government programs is communicated to patients in multiple ways: - At all our points of registration in the hospital (general registration, Emergency Department) and in our specialized service areas (Perinatal Center, Cancer Institute, etc.) large signs are posted informing the patient that if they face problems in paying for their care, they may apply for financial assistance. The phone number is posted for them to contact one of our financial counselors. - When patients are registering in the hospital for inpatient treatment or outpatient treatment, they are given the Patient Financial Information Sheet (Appendix III) that is printed on two sides in English and Spanish. This Patient Financial Information Sheet is available at every point of entrance to the hospital and every point of service delivery. It is also included in the patient information packet given to each patient. - When patients are inpatients and do not have any health insurance, one of our financial counselors visits them in their room and discusses with them availability of various government benefits such as Medicaid or state programs offering health care assistance and assists the patients with appropriate qualifications to apply. - When patients receive outpatient services and do not have any health insurance, the financial counselor sends them information about their potential eligibility for various government benefits such as Medicaid or state programs offering health care assistance, and invites them to call (Spanish and English-speaking financial counselors are available) to discuss applying for these programs. When a patient applies for financial assistance, our bilingual financial assistance counselor works with the patient to gather appropriate documents and submit their application for financial assistance. Description of Community Served - UMMSC Schedule H, Part VI, Line 4 For purposes of community benefits programming to the State, the community benefit service area for the University of Maryland Medical Center is defined as within Baltimore City. There are seven zip codes which specifically defines the target population: 21201, 21206, 21215, 21216, 21217, 21218, 21223, 21229, and 21230. Zip codes in this community are part of the federally designated West Baltimore Medicaid Health Professional Shortage Area (HPSA). This designation indicates that there is less than one primary care provider practicing in the area for every 3,000 Medicaid eligible community members. The populations in these zip codes are some of the most vulnerable, underserved residents in Baltimore City with significant health disparities when compared to other zip codes in Baltimore City and Maryland. Residents within the targeted zip codes face significant health disparities. Life expectancy in the target population is 62.9 years vs 71.8 years for Baltimore City overall and 82 years for Roland Park, an upscale Baltimore City neighborhood. Life expectancy is affected by chronic disease prevalence and uncontrolled risk factors, like hypertension. According to Marylands Statewide Health Improvement Plan (SHIP), ER visits due to hypertension are 658.9/100,000 population in Baltimore City as compared with 252.2/100,000 for Maryland, placing Baltimore City with the highest prevalence in the State. This 20-year disparity in life expectancy and quality of life is also profoundly affected by multiple social determinants of health (SDoH). While there are numerous social determinants which affect this population, the main SDOHs include the prevalence of food deserts, unemployment and poverty, transportation issues, and violence. Physical environment determinants include the prevalence of inadequate/unsafe housing, vacant homes, and high tobacco and alcohol store density. The following table illustrates demographics and some of the significant social determinants of health affecting the target population. For a more detailed analysis of these and other determinants of health in this population, please review UMMCs FY2015 Community Health Needs Assessment at: www.umm.edu/community Target Population Description: Target Population Total: 344,124 (Male=159,688, Female=184,436) Median Age: 34.6 years Race: White/Caucasian 81,208 Black/African American 242,172 Amer. Indian/Alaska Native 1,084 Asian 8,161 Native Hawaiian/Other Pacific 205 Other 2,629 Two or More Races 8,665 Ethnicity: Hispanic 8,759 Non-Hispanic 335,365 Median Household Income: $42,266 Percentage of households w/ incomes below the federal poverty guidelines: 22.7% Percentage of uninsured people: 14% Percentage of Medicaid recipients: 30.9% Percentage of HS graduates: 66% Unemployment Rate: 21.9% - 28.6% No Vehicle Available: 15.3% Severe Housing Problems: 24% Healthy Food Availability Index: 7.8-12.4 (Scale = 0-25) Tobacco Store Density: 27.8- 51.4 stores/10,000 people Description of Community Served - UMSJMC Schedule H, Part VI, Line 4 The UM St. Joseph Medical Center is located in a northern suburb of Baltimore County, draws patients from Franklinville, Westminster in the West, Aberdeen and Eastern Shore to the East, to the Pennsylvania line up the I-83 corridor including and Hanover, PA and as far south as Landsdowne. This is an area distinctive in the very broad range of populations it contains in terms of economic, ethnic/racial, and urban/rural considerations. The Community Benefit Service Area of UM St. Joseph Medical Center is constituted by the zip codes in which patients reside who have received charity care. These zip codes are: 17361, 20011, 20724, 21001, 21014, 21030, 21050, 21057, 21078, 21082, 21093, 21094, 21111, 21117, 21120, 21136, 21161, 21202, 21204, 21206, 21207, 21209, 21211, 21212, 21214, 21215, 21216, 21217, 21218, 21221, 21222, 21227, 21228, 21229, 21234, 21236, 21237, 21239, 21244, 21286, 30062 The CBSA for UM St. Joseph Medical Center (UM SJMC) has been identified by plotting the zip codes of recipients of financial assistance/charity care in FY 15. UM St. Joseph Medical Centers CBSA falls primarily within Baltimore County with a few outlying areas in, Harford County. When illustrated in this way, it becomes clear that a significant portion of the charity care cases for FY 15 are concentrated in two areas, i.e., the northern segment of Baltimore County around Hunt Valley and Cockeysville, and the Eastern segment in the Carney/Parkville area. We feel this confirms several things we know already: The immediate geographic area in which UM SJMC is located is predominantly a middle-class/upper middle-class population. While there are, indeed, people from the area proximate to UM SJMC who receive charity care, this is not where the greatest need for charity care exists for us. The hidden population receiving a significant amount of charity care is a growing Hispanic immigrant population in the Hunt Valley/Cockeysville area. This has created a pocket of financially challenged people in an area that is usually viewed as fairly affluent. Median Household Income: $65,411 Percentage of households with incomes below the federal poverty guidelines: 5.4% The following links provide information on the percentage of uninsured people by County within the CBSA: http://www.census.gov/hhes/www/hlthins/data/acs/aff.html; http://planning.maryland.gov/msdc/American_Community_Survey/2009ACS.shtml NH black: 17.5% Hispanic: 44.7% NH white: 10.4% Percentage of Medicaid recipients by County: 107,294 recipients or 13.13% Life Expectancy by County (including by race and ethnicity where data are available). See SHIP website: http://dhmh.maryland.gov/ship/SitePages/Home.aspx and county profiles: http://dhmh.maryland.gov/ship/SitePages/LHICcontacts.aspx General: 78.1 years Black: 75.4 years White: 78.6 years Mortality Rates by County (including by race and ethnicity where data are available): - Heart Disease - Deaths per 100,000 people: Average: 68.3 Black: 238.6 White: 197.4 - Cancer - Deaths per 100,000 people: Average: 98.5 Black: 218.8 Hispanic: 65.3 White: 191.7 Race, ethnicity, and language: See SHIP County profiles for demographic information of Maryland jurisdictions. http://dhmh.maryland.gov/ship/SitePages/LHICcontacts.aspx White: 64.8% Black/African American: 27.0% Hispanic/Latino: 4.6% Asian alone: 5.4% Two or more races: 2.2% Language other than English spoken at home: 12.6% Promoting the Health of the Community - UMMSC Schedule H, Part VI, Line 5 The strategic priorities identified in the FY15 Community Health Needs Assessment are again as follows: 1. Cardiovascular Disease 2. Workforce Development (as a shared component of literacy and SDoH) 3. Maternal & Child Health 4. Violence Prevention (related to behavioral/mental health) 5. Health Literacy (shared UMMS priority) Programming and initiatives are developed within each of these strategic priorities. Initiative 1: Cardiovascular Disease/Obesity Identified Need: 68% of Baltimore City adults are either overweight or obese. Heart Disease is the number one leading cause of death, and stroke is the third leading cause of death in Baltimore City. Baltimore Citys Hypertension ED visit rate is 658/100,000 as compared to 252/100,000 for Maryland. Significant health disparities exist among African Americans in Baltimore City. Food deserts exist in half of the targeted zips. This problem was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Fall Back into Health/Spring into Healthy Summer Health Fairs - Farmers Market, Kids to Farmers Market - Hypertension (HTN) Program for AA Men - Smoking Cessation Program for AA Men Total Number of People Reached by the Initiative Within the Target Population: - Health Fairs = 850+ (for 2 larger health fairs & 2,761 for all other smaller health fairs/events) - Farmers Market = approx. 2,800 - Kids to Farmers Market = 150 - Hypertension (HTN) Program = 1,400 BP screens, all races/both genders, 842 African American men - Smoking Cessation = 393 people educated/counseled; 18 in cessation class Primary Objective of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduce prevalence of obesity (children & adults) 2) Reduce prevalence of uncontrolled hypertension 3) Increase self-reported knowledge/behaviors of heart healthy lifestyle Single or Multi-Year Initiative Time Period: Multi-year initiative since 2008; Expected to continue Key Collaborators in Delivery of Initiative: UMMC Staff, UM Midtown Staff, University of Maryland Baltimore, Baltimore City Health Department, American Heart Association, Union Baptist Church, Shoppers Food Warehouse, Bi-Rite, American Diabetes Association, Baltimore City Dept of Parks & Rec, Baltimore City Public Schools Impact/Outcome of Hospital Initiatives: Health Fairs: 86% of people surveyed following the health fair reported learning new health information; When asked before & after health fair, there was a statistically significant improvement in people knowing what their BP means Z score = -2.3897, p = 0.01684, p <0.05. Farmers Market: Maryland Market Money (Bonus dollars program) redeemed = $1,065; SNAP Benefits redeemed - $1,440; FVC?FMNP/SFMP redeemed - $982 Kids to Farmers Market: Over 90% of children who attended tried a new healthy recipe with fresh produce and liked it. HTN Program: 577 out of 842 AA men were identified as hypertensive in the community & educated/counseled about hypertension and prevention & referred for treatment. Smoking Cessation: NRTs distributed to 9/18 class participants at Helping Up Mission; 393 others were educated about cessation and/or tobacco prevention. Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx ) % of Adults at Healthy Weight Baltimore City: 2011 = 34.5%, 2012 =39.7%, 2013 = 35% % of Children/Adolescents Who are Obese Baltimore City: 2010 = 16.4, 2013 = 14.9 ED Visit Rate due to HTN Baltimore City: 2012 = 591.1, 2013 = 599.6, 2014 = 658.9 Trends for adults at a healthy weight and ED visits due to HTN are performing negatively at this time for Baltimore City and especially African Americans. Prevalence trend of obese children/adolescents in Baltimore City is showing improvement. Continuation of Initiative: Trends for adults at a healthy weight and ED visits due to HTN are performing negatively at this time for Baltimore City and especially African Americans. Total Cost of Initiative for Current Fiscal Year: Health Fairs = $46,153 Farmers Market = $5,569 Kids to Farmers Market = $3,000 HTN Program = $46,037 Smoking Cessation = $6,000 Direct Offsetting Revenue from Restricted Grants: Health Fairs = $0 Farmers Market = $0 Kids to Farmers Market = $0 HTN Program = $46,037 Smoking Cessation = $6,000 Initiative 2: Maternal/Child Health Identified Need: Infant mortality is 10.3 per 1,000 births in Baltimore making it the highest rate of infant mortality in Maryland. The Maryland 2017 goal is 6.3. The percentage of low birth weight infants born in Balto City is 11.9% - once again the highest in Maryland. The Maryland 2017 goal is 8%. Maryland 2013 prevalence of ever breastfeeding was 69.4% with the Healthy People 2020 goal at 81.9%. This was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Storks Nest - Breathmobile - Safe Kids Total Number of People Reached by the Initiative Within the Target Population: - Storks Nest 163 - Breathmobile 536 - Safe Kids 5,393 Primary Objectives of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduce low birthweight births in West Baltimore communities 2) Reduce pediatric asthma incidence and ED visits 3) Reduce unintentional injuries in children 4) Increase awareness and benefits of breastfeeding Single or Multi-Year Initiative Time Period: Multi-year initiative since 2005; Expected to continue Key Collaborators in Delivery of Initiative: Zeta Phi Beta Sorority, March of Dimes, BMore Healthy Babies, Baltimore City Public Schools, Baltimore City Fire and Police Departments Impact/Outcome of Hospital Initiative: - Storks Nest 84.2% Babies born >37 weeks; 80.8% babies born >2500 grams; 64.4% of SN Moms initiated breastfeeding - Breathmobile 51.5% of BM patients had any ED visit; Only 33.7% of those had > 2 ED visits; Only 12.3% were hospitalized; Only 34.2% missed > 5 days of school - Safe Kids 1)Child Passenger Safety - Car Safety Misuse Rate = 83% - All seats corrected to 100% 2) Fire Safety Pre-program safety assessment score = 69.6% with Post-program safety assessment score = 88.5% (N = 100 third graders from 2 elementary schools) 3) Pedestrian Safety Pre-program assessment score = 51.6% with Post-program assessment score = 96.8% (N = 50 third grade students) - Breastfeeding Just initiating initiative in FY16 Evaluation Outcomes: According to the Maryland SHIP website, the following data trends are: (Source: http://dhmh.maryland.gov/ship/SitePages/Home.aspx ) % of Babies at Low Birth Rate Baltimore City: 2011 11.6%, 2012 = 11.8, 2013 11.9 % of ED Visits r/t Asthma Baltimore City: 2012 = 235.2/10,000 population, 2013 = 223.5, 2014 = 224.8 % of Breastfeeding - Maryland: 2013 = 69.4% ever breastfed (Source: http://www.cdc.gov/breastfeeding/pdf/2013breastfeedingreportcard.pdf ) Trends in above measures are stagnant or worsening for Baltimore City. Continuation of Initiative: Yes Indicators are not improving and warrant continued focus Total Cost of Initiative for Current Fiscal Year: - Storks Nest - $18,044 - Breathmobile - $177,747 - Safe Kids - $61,952 D. Direct Offsetting Revenue from Restricted Grants: SN = $0 Breathmobile = $171,944 Safe Kids = $0 Initiative 3: Violence Prevention Identified Need: Homicide is the 6th leading cause of death in Balto City. Homicide rate is much higher in 5/9 of the targeted zips and at same rate in 1 zip. Homicide is the number 1 killer of African American men ages 19-24 yrs. Alcohol/ substance use & distractions impairs driving & lead to preventable accidents. This was identified through the CHNA process (FY12 & FY15). Hospital Initiatives: - Violence Intervention Program (VIP) - My Future My Career - Promoting Healthy Alternatives for Teens (PHAT) - Trauma Prevention Programs (including Distracted Driving) Total Number of People Reached by the Initiative Within the Target Population: - VIP - 1,662 encounters with 42 registered participants - Domestic Violence Project 126 - PHAT program 25 - Trauma Prevention 11,795 Primary Objectives of the Initiative: Provide evidence-based, innovative, and engaging programs that: 1) Reduces recidivism due to violent injury and domestic violence 2) Promote violence prevention and education in youth 3) Promote trauma prevention (distracted driving, driving while intoxicated) Single or Multi-Year Initiative Time Period: Multi-year initiative since 1998; Expected to continue Key Collaborators in Delivery of Initiative: UMMC partners with Baltimore City Police Commissioner, Baltimore City Police Dept., Baltimore City Public Schools, Baltimore City Health Dept., HSCRC, and DPSC Secretary Impact/Outcome of Hospital Initiative: As a result of the VPP program (of 42 clients), there were: - Recidivism: 2 clients - Only 4.76% had a repeat admission secondary to violence - Job/Employment: 9 clients - 21% of clients became gainfully employed - School :1 client Returned to school Evaluation Promoting the Health of the Community - UMSJMC Schedule H, Part VI, Line 5 Initiative 1 Early Cancer Detection Screening Identified Need: Cancer prevention and early detection through cancer screenings. This was not identified through the CHNA process. Hospital Initiative: One Voice Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 210 Primary Objective of the Initiative: To provide early mammogram screening for patients who had not had screenings before due to financial issues Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Baltimore County Cancer Program; Advanced Radiology Impact/Outcome of Hospital Initiative: 210 routine screening mammograms and clinical breast exams; 1 diagnosis of cancer with follow-up treatment Evaluation of Outcomes: Modestly successful Continuation of Initiative? Unknown (dependent on funding and collaboration) Total Cost of Initiative for Current Fiscal Year: $10,386 Direct Offsetting Revenue from Restricted Grants: $0 Initiative 2 Cancer Prevention and Early Detection Identified Need: Cancer prevention and early detection through cancer screenings This is need was identified through the CHNA process. In addition, needs were identified through Nueva Vida, a community cancer support program for Latinas and Baltimore County Cancer Program Hospital Initiative: One Voice Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 63 uninsured women were educated and provided CBE and Mammograms through the Cancer Institute One Voice Program, a monthly Breast Cancer Education and Screening Program. 40 Diagnostic follow-up procedures were provided to women in the One Voice Program Primary Objective of the Initiative: To educate uninsured/underserved women about cancer prevention and provide early detection of breast cancer through screening program and patient navigation Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Nueva Vida, a Community Cancer Support and Advocacy Group for Hispanic women, Cancer Institute Breast Center who provides the CBE and follow-up for women with positive findings and Advanced Radiology who provided 100 free screening mammograms for the program. UM SJMC works with Baltimore County Cancer Program (BCCP) to enroll women in need of a biopsy and/or treatment into the Breast and Cervical Cancer Diagnosis and Treatment Program. Impact/Outcome of Hospital Initiative: Through our collaborative partners, the One Voice Breast Screening Program has been able to be sustained since 2012 and has expanded to include diagnostics and a seamless referral process for cervical and colorectal screenings for uninsured women. Evaluation of Outcomes: Feedback was provided by women served by the program, Nueva Vida, Breast Center and Advanced Radiology. Two quality measures were added to the monthly breast screening program based on evaluation: Diagnostics were included in the Screening Program to provide continuity of care for the women and a Referral Process was developed with BCCP for women in need of Cervical and/or Colon cancer screening. Continuation of Initiative? Yes Total Cost of Initiative for Current Fiscal Year: $1,129 Direct Offsetting Revenue from Restricted Grants $0 Initiative 3 Cancer Coalition Building Identified Need: Coalition building and advocacy are vital to a strong outreach program focused on cancer education, prevention, early detection and survivorship, with particular attention to culturally sensitive approaches. This need was identified through the CHNA process, with the addition of collaborative partnerships. Hospital Initiative: Cancer Coalition Building and Advocacy Total Number of People Within the Target Population: Unavailable Total Number of People Reached by the Initiative Within the Target Population: 1,768 Primary Objective of the Initiative: To enhance the effectiveness of each participating organization/agency in cancer education/prevention by collaborating in initiatives to educate and screen persons, especially those in minority and traditionally underserved/marginal communities. Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: Nueva Vida, UMSJMC Community Health, UMMS Community Outreach Downtown, MD State Cancer Collaborative, MD State Cancer Control Steering Committee, Baltimore County Cancer Coalition Impact/Outcome of Hospital Initiative: Total # of collaborative education/prevention activities = 36 Evaluation of Outcomes: Metrics include the following: # people reached (unavailable) # people screened (unavailable) # evaluations at individual events (unavailable) # of collaborative activities (unavailable) Continuation of Initiative? Yes Total Cost of Initiative for Current Fiscal Year: $705 Direct Offsetting Revenue from Restricted Grants $0 Initiative 4 St. Clare Medical Outreach Identified Need: Primary care services for persons with no insurance whatsoever (no Medicare, no Medicaid, not eligible for any health insurance under the ACA) or an easily accessible bus route. This need was identified through the CHNA process. Access to health care was identified as one of the primary unmet health care needs. Hospital Initiative: St. Clare Medical Outreach Total Number of People Within the Target Population: Number of Hispanics in Baltimore City 2010 Census 29,960 Number of Hispanics in Baltimore County 2010 Census 33,735 Total 63,695 Total Number of People Reached by the Initiative Within the Target Population: St. Clare has 900 individual patients Primary Objective of the Initiative: Primary health care service for those with no health insurance, particularly the Hispanic community (also immigrant). Single or Multi-Year Initiative Time Period: Multi Year Key Collaborators in Delivery of the Initiative: UM SJMC provides no cost lab and out-patient services Charity in-patient services for patients referred from St. Clare Medical Outreach, including surgery and cancer treatment: - Service of employed physicians - Service of non-employed specialists who accept St. Clare patients as pro bono patients - Baltimore County Cancer Prevention Program - Baltimore City Cancer Prevention Program Med Star - Esperanza Center - House of Ruth/Adelente Familia - Nueva Vida - Provision JHH Wilmer Eye Institute Diabetic Retinopathy - University of MD Dental School - Baltimore County Health Department for Womens Health - Baltimore City FQHC for Womens Health Care - Baltimore City Health Dept. STD clinics - Medicine and International Health JHU SOM Center for TB Research Impact/Outcome of Hospital Initiative: St. Clare sees approximately 2200 patients/year. Evaluation of Outcomes: Number of patients able to be seen with limited health care providers in the practice Decrease in AIC markers indicating better control of diabetes (diabetes is one of the most prevalent and chronic conditions of St. Clare patients) Decrease number of patients seen in the Emergency Room at SJMC Continuation of Initiative UM St. Joseph Medical Center is committed to underwriting the expenses of St. Clare Medical Outreach including rent, salaries, pharmaceuticals, etc. Total Cost of Initiative for Current Fiscal Year: $735,527 Direct Offsetting Revenue from Restricted Grants $0 Affiliated Health Care System Roles - UMMSC Schedule H, Part VI, Line 6 As part of the University of Maryland Medical System (UMMS), the University of Maryland Medical Center understands that health care goes beyond the walls of the hospital and into the community it serves. UMMS hospitals are committed to strengthening their neighboring communities. In doing so, the UMMC assesses the community's health needs, develops budgets, and responds with services, programs and initiatives which make a positive, sustained impact on the health of the community. With representation from all UMMS hospitals, the Medical System's Community Health Needs Assessment and Reporting Coalition coordinates the effective and efficient utilization and deployment of resources for community-based activities and evaluates how services and activities meet targeted community needs within defined geographic areas. The University of Maryland Medical Center is committed to health education, advocacy, community partnerships, and programs to eliminate health care disparities in our community. Affiliated Health Care System Roles - UMSJMC Schedule H, Part VI, Line 6 As a member of the University of Maryland Medical System, UM-SJMC participates annually in multiple community-based events, i.e., health fairs, screenings and educational opportunities across the UMMS system, particularly in collaboration with the downtown University of Maryland Medical Center. State Filing of Community Benefit Report - UMMSC & UMSJMC Schedule H, Part Vi, Line 7 MD true UMBF Inc 100 N Greene St Baltimore MD 21201 30000 General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance General Assistance Youthworks Baltimore City Foundation Inc 101 West 24th Street Baltimore MD 21218 55000 General Assistance BWMC Foundation 300 Hospital Drive Glen Burnie md Glen Burnie MD 21061 10000 General Assistance Cal Ripken Sr Foundation 1427 Clarkview Road Baltimore MD 21209 10000 General Assistance UMMS Foundation 22 S Greene St Baltimore MD 21201 10000 General Assistance Greater Baltimore Committee 111 South Calvert St Baltimore MD 21202 9000 General Assistance Healthy Holly LLC 3603 Dennly Road Baltimore MD 21215 100000 General Assistance HoganRutherford Enaugural Committee 2702 LH Point East baltimore md 2 Baltimore MD 21224 25000 General Assistance American Heart Association 217 E Redwood Street Baltimore MD 21201 82261 General Assistance Ronald McDonald House - Baltimore 635 W Lexington Street Baltimore MD 21201 20000 General Assistance The Living Legacy Foundation 1730 Twin Springs Road Baltimore MD 21227 10000 General Assistance Univ of Maryland St Joseph Foundation Inc 250 West Pratt Street 1436 Baltimore MD 21201 500000 General Assistance Cristo Rey Corporate Internship Program 420 S Chester STreet Baltimore MD 21231 25500 General Assistance Y of Central Maryland 303 W Chesapeake Ave Baltimore MD 21204 46145 General Assistance American Heart Association Mid Atlantic 107 Waterhouse Road Bourne MA 02532 7500 General Assistance 15 Part I, Line 2 University of Maryland Medical System makes contributions to organizations in support of its overall mission of health promotion in the community it serves. X true true X X X X false true false false false false false true false ROBERT A CHRENCIK PRESIDENT AND CEO 1183796 0 1004469 0 4692806 0 10400 0 10695 0 6902166 0 4526360 0 HENRY J FRANEY CFO- UMMS/TREASURER 716371 0 364157 0 133840 0 10400 0 10695 0 1235463 0 0 0 MEGAN M ARTHUR SVP & GEN COUNSEL/ SEC'TY 428562 0 172033 0 66247 0 10400 0 14252 0 691494 0 0 0 JEFFERY A RIVEST PRESIDENT & CEO - UMMC 743558 0 278394 0 151946 0 10400 0 9869 0 1194167 0 0 0 LISA C ROWEN SVP & CNO - UMMC 349373 0 126744 0 49843 0 10400 0 15195 0 551555 0 0 0 WALTER ETTINGER SVP & CMO - UMMS 581016 0 207943 0 8880 0 95692 0 9869 0 903400 0 0 0 JON P BURNS SVP & CIO 381339 0 154634 0 55236 0 10400 0 9869 0 611478 0 0 0 JONATHAN E GOTTLIEB SVP & CMO 446296 0 147094 0 463800 0 10400 0 10695 0 1078285 0 314430 0 KEITH D PERSINGER SVP & CFO UMMC 505707 0 181300 0 72844 0 10400 0 6412 0 776663 0 0 0 DAVID P SWIFT SVP - Chief HR Officer 337762 0 196500 0 50850 0 10400 0 0 0 595512 0 0 0 JOHN W ASHWORTH III SVP NETWORK DEVELOPMENT 373547 0 155458 0 68205 0 10400 0 10695 0 618305 0 0 0 GARY H KANE VP - SUPPLY CHAIN MGMT 292984 0 91357 0 210838 0 10400 0 10695 0 616274 0 134854 0 KENNETH LEWIS EXECUTIVE - UNION OF CECIL 559246 0 212203 0 7077 0 18351 0 7591 0 804468 0 0 0 MARK KELEMEN CHIEF MEDICAL INFO OFFICER 335377 0 130804 0 48160 0 10400 0 15215 0 539956 0 0 0 ALISON G BROWN SVP PLANNING & MARKETING 379957 0 141814 0 62186 0 10400 0 15195 0 609552 0 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a UMMS executives receive a benefit package which may be used towards health club dues or other health maintenance programs. Such benefits are capped at $7,000, $5,000 or $3,000 depending on job title as described in the program documents. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b During the Fiscal Year- ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J, Part II, Column C, Retirement and Other Deferred Compensation: Kenneth Lewis Walter Ettinger. During the Fiscal Year-ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have vested in the plan in a prior year, therefore the contributions to the plan for the fiscal year are reported as taxable compensation and reported on Schedule J, Part II, Line B(III), Other Reportable Compensation: Jeffrey A. Rivest Henry J. Franey Keith D. Persinger Lisa C. Rowan Megan M. Arthur Jon P. Burns David P. Swift John W. Ashworth Allison G. Brown Mark Kelemen During the Fiscal Year-ended June 30, 2015, certain officers and key employees participated in the University of Maryland Medical System (UMMS) Supplemental Nonqualified Retirement Plan. The individuals listed below have vested in the plan in the reporting tax year, therefore the full value of the plan, including any contributions to the plan for the current fiscal year is reported as taxable compensation and reported on schedule J, Part II, Line B(III), Other Reportable Compensation. Prior year contributions to the plan were previously reported on Form 990 and are indicated on Schedule J, Part II, Column (F). Robert A. Chrencik Jonathan E. Gottlieb Gary H. Kane Non-fixed Payments Schedule J, Part I, Line 7 Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the Board as part of the overall compensation review of the officers and key employees. A MHHEFA (SERIES 2004B) 520936091 574217LP8 2003-12-17 37590847 ADVANCE REFUNDING true false false B MHHEFA (SERIES 2005) 520936091 574217W92 2008-06-25 144317619 CURRENT REFUNDING false false false C MHHEFA (SERIES 2006A) 520936091 574217YG4 2006-10-24 46070791 NEW MONEY false false false D MHHEFA (SERIES 2007A) 520936091 574217G74 2007-09-12 96445000 ADVANCE REFUNDING false false false A 9485000 25160000 37590847 0 0 0 444968 1056738 0 0 36089142 0 false true true true B 7025000 0 144317619 0 0 0 1167619 0 0 0 143150000 0 true false true true C 0 0 46907010 2214122 3498365 0 350032 0 0 40844491 0 0 2008 false false true true D 400000 0 96445000 0 0 0 784512 13877 0 0 95646611 0 false true true true A 0 B 0 C false false false true false true 0.00000 0.00000 0.00000 D 0 A false false false false 0 false 0 false B false false false false 0 false 0 false C false false false false 0 false 0 false D false false true true JP MORGAN BANK AMER 27. false 0 false A true B true C true D true Schedule K, Part III, Line 9, Part IV, Line 9, Part V The organization is in the process of establishing written procedures, to be effective by the end of the fiscal year June 30, 2015, to ensure the following: 1) All nonqualified bonds of the issue are remediated in accordance with the requirements under regulations sections 1.141-12 and 1.145-2; 2) Violations of Federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulation; and 3) Ensure compliance by monitoring the requirement of section 148. A MHHEFA (SERIES 2007B) 520936091 574217G82 2007-09-12 41350000 ADVANCE REFUNDING true false false B MHHEFA (SERIES 2008A) 520936091 574217U78 2008-05-21 50000000 CURRENT REFUNDING true false false C MHHEFA (SERIES 2008B) 520936061 574217U86 2008-05-21 75000000 CURRENT REFUNDING true false false D MHHEFA (SERIES 2008C) 520936091 574217U94 2008-05-21 50000000 CURRENT REFUNDING true false false A 175000 41175000 46837192 0 0 45792457 336219 5947 0 0 702569 0 false true true true B 0 50000000 50000000 0 0 0 283967 33758 0 0 49682275 0 true false true true C 0 75000000 75000000 0 0 0 425158 50542 0 0 74524300 0 true false true true D 0 50000000 50000000 0 0 0 283967 33758 0 0 49682275 0 true false true true A 0 B false false false true false true 0.00000 0.00000 0.00000 true C false false false true false true 0.00000 0.00000 0.00000 true D false false false true false true 0.00000 0.00000 0.00000 true A false false true true JP MORGAN BANK AMER 27. false 0 false B false false true true JP MORGAN BANK AMER 34.6 false 0 false C false false true true JP MORGAN BANK AMER 34.6 false 0 false D false false true true JP MORGAN BANK AMER 34.6 false 0 false A true B true C true D true A MHHEFA (SERIES 2008D) 520936091 574217V28 2008-05-21 50000000 CURRENT REFUNDING false false false B MHHEFA (SERIES 2008E) 520936091 574217V36 2008-05-21 55000000 CURRENT REFUNDING false false false C MHHEFA (SERIES 2008F) 520936091 574217Y66 2008-07-10 89764001 CURRENT REFUNDING false false false D MHHEFA (SERIES 2010) 520936091 5742175E1 2010-01-07 241441656 NEW MONEY/CURRENT REFUNDING false false false A 0 0 50000000 0 0 0 283967 33758 0 0 49682275 0 true false true true B 0 0 55000000 0 0 0 309350 36775 0 0 54653875 0 true false true true C 17365000 0 89764001 0 0 0 792457 0 0 0 88971544 0 true false true true D 10460000 0 241441656 19092171 0 0 2656305 0 0 130000000 89693180 0 2012 true false false true A false false false true false true 0.00000 0.00000 0.00000 true B false false false true false true 0.00000 0.00000 0.00000 true C false false false true false true 0.00000 0.00000 0.00000 true D false false false true false true 0.00000 0.00000 0.00000 true A false false true true JP MORGAN BANK AMER 34.6 false 0 false B false false true true JP MORGAN BANK AMER 34.6 false 0 false C false false false false 0 false 0 false D false false false false 0 false 0 false A true B true C true D true A MHHEFA (SERIES 2012A) 520936091 2012-08-16 40785000 CURRENT REFUNDING false false false B MHHEFA (SERIES 2012B) 520936091 2012-08-16 50175000 CURRENT REFUNDING false false false C MHHEFA (SERIES 2012C) 520936091 2012-08-16 75205000 CURRENT REFUNDING false false false D MHHEFA (SERIES 2012D) 520936091 2012-08-16 50170000 CURRENT REFUNDING false false false A 0 0 40785000 0 0 0 580000 0 0 0 40205000 0 true false false true B 0 0 50175000 0 0 0 0 0 0 0 50175000 0 true false false true C 0 0 75205000 0 0 0 0 0 0 0 75205000 0 true false false true D 0 0 50170000 0 0 0 0 0 0 0 50170000 0 true false false true A false false false true false true 0.00000 0.00000 0.00000 true B false false false true false true 0.00000 0.00000 0.00000 true C false false false true false true 0.00000 0.00000 0.00000 true D false false false true false true 0.00000 0.00000 0.00000 true A false false false false 0 false 0 false B false false false false 0 false 0 false C false false false false 0 false 0 false D false false false false 0 false 0 false A true B true C true D true A MHHEFA (SERIES 2013A) 520936091 574218MH3 2013-03-08 265377428 NEW MONEY/CURRENT & ADVANCED REFUN false false false B MHHEFA (SERIES 2015) 520936091 574218WD1 2015-05-21 86603677 ADVANCE REFUNDING false false false C MHHEFA (SERIES 2008C) 520936091 5742172P9 2008-08-08 55325000 CURRENT REFUNDING false false false D MHHEFA (SERIES 2011A) 520936091 2011-10-01 42000000 NEW MONEY false false false A 0 0 265377428 0 0 54010562 2662975 0 0 129930000 35603891 43170000 true true false true B 0 0 86603677 0 0 86594202 9475 0 0 0 0 0 false true false true C 54124840 0 58596000 2511863 0 0 0 0 0 0 0 0 2008 true false true true D 0 0 50000000 0 0 0 0 0 0 0 0 0 2013 false false true true A false false false true false true 0.00000 0.00000 0.00000 true B false false false true false true 0.00000 0.00000 0.00000 true C false false false true false true 0.00000 0.00000 0.00000 true D false false false true false true 0.00000 0.00000 0.00000 true A false false false false 0 false 0 false B false false false false 0 false 0 false C false false false false 0 false 0 false D false false false false 0 false 0 false A true B true C true D true A MHHEFA (SERIES 2011B) 520936091 2011-12-01 59225000 CURRENT REFUNDING false false false B MHHEFA (SERIES 2011C) 520936091 2011-12-01 59225000 CURRENT REFUNDING false false false A 61800000 0 59225000 0 0 0 0 0 0 0 0 0 2000 true false true true B 58080000 0 59225000 0 0 0 0 0 0 0 0 0 2000 true false true true A false false false true false true 0.00000 0.00000 0.00000 true B false false false true false true 0.00000 0.00000 0.00000 true A false false false false 0 false 0 false B false false false false 0 false 0 false A true B true Atwood Collins Board Member 2500000 see below Francis Kelly Board Member 1481793 see below John Dillon Board Member 156000 see below Atwood Collins The Organization used M&T Bank for many of it's banking services, including treasury management, deposit serviecs, lines of credit and corporate trust and custody services. Atwood Collins is Executive Vice President of M&T Bank as well as a Board Member of the University of Maryland Medical System. Services provided by M&T Bank are charged at or below fair market value. Francis Kelly Francis Kelly is a board member of the University of Maryland Medical System as well as the chairman and chief executive officer of Kelly & Associates Insurance Group, Inc. The Medical System uses Kelly & Associates to purchase health, vision, dental and life insurance policies for the employees of the system. Services provided by Kelly & Associates are charged at or below fair market value. The above amount includes $941,294 attributable to UMMC and $137,394 attributable to SJMC. John Dillon Mr. Dillon provides healthcare consulting services to UMMS. All services are provided at or below FMV. Form 990, Part III, Line 2 On December 1, 2012, the University of Maryland Medical System acquired substantially all of the assets of St. Joseph Medical Center, a 247-bed community hospital located in Towson, Maryland, as well as ownership interests in related affiliates, pursuant to an Asset Purchase Agreement with Catholic Health Initiatives, St. Joseph Medical Center, Inc. and certain other entities controlled by Catholic Health Initiatives. The hospital assets were purchased by University of Maryland St. Joseph Medical Center, LLC, a wholly-owned subsidiary of UMSJ Health System, LLC. UMSJ Health System, LLC is a wholly-owned subsidiary of the University of Maryland Medical System. Under the Purchase Agreement, purchased assets include the St. Joseph Medical Center hospital facility land and improvements, furniture, fixtures and equipment, supplies, inventory, intangible assets, prepaid expenses and certain records necessary to continue operations at the facility, but exclude certain assets such as cash, investments and accounts receivable as of the purchase date. Under the terms of the Purchase Agreement, the University of Maryland Medical System did not assume any liabilities or financial obligations associated with any acquired assets or the business operations at St. Joseph Medical Center that existed at the time of, or occurred prior to, the purchase date, including but not limited to accounts payable, liabilities for benefits or pension plans, financial obligations to any governmental authority and claims or litigation relating to acts or omissions that occurred prior to the purchase date. On December 6, 2013, The University of Maryland Medical System completed a full acquisition and beacame a sole corporate member of Upper Chesapeake. Prior to 2013, UMMS owned a 49 percent interest in a joint venture that included the majority of the operating assets and revenues of Upper Chesapeake. For this period, UMMS' investment in Upper Chesapeake was accounted for as a noncontrolling joint venture interest and a component of UMMS' nonoperating income. Form 990, Part VII University of Maryland St. Joseph's Medical Center Board of Directors Robert A. Chrencik, member John W. Ashworth III, member Honorable Francis X. Kelly, chairman Rev. Joseph Barr, member John P. Coale Esq., member Monsignor Richard Cramblitt, member R. Michael Gill, member Edward J. Gillis, Esq., Vice Chairman Patrick J. Goles, member Caroline A. Griffin, Esq., member E. Albert Reece, MD, member Honorable James T. Smith, Jr., member Adele A. Wilzack, RN, member David Brinker, MD, member Honorable Andrew P. Harris, MD, member Monsignor J. Bruce Jarboe, member Officers- non voting members Mohanakumar Suntharalingam, President & CEO Craig J. Carmichael, VP Operations Paul S Nicholson, CFO The following represents compensation paid by University of Maryland Medical System Corp. to the Officers of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation M. Suntharalingam 1,138,649 119,195 Paul S. Nicholson 416,369 25,595 Honorable F. Kelly - - Edward J. Gillis, Esq. - - -Edward J Gillis also serves as a director but does not recieves any compensation for his serves as a director or as an officer of St. Joseph's Medical Ceneter. -Honorable F. Kelly serves as an officer, without compensation for his services to St. Joseph's Medical Center. The following directors of St. Joseph's Medical Center are not compensated for their roles as directors of St. Joseph's Medical Center but rather receive compensation from the The University of Maryland Corp. (UMMS Corp.) as the President & CEO and SVP Network Development of UMMS Corp., respectively: Individual Reportable Compensation Other Compensation Robert Chencik 6,881,071 21,095 John Ashworth III 597,210 21,095 The following represents compensation paid by University of Maryland Medical System Corp. to the Key Employees of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation Craig Carmichael 327,823 23,328 Gail Cunningham 496,179 21,095 Walter Furlong 273,229 45,243 Pamela Jamieson 350,107 19,804 The following represents compensation paid by University of Maryland Medical System Corp. to the Top 5 Highest Compensated Employees of St. Joseph's Medical Center during the tax year: Individual Reportable Compensation Other Compensation Michael Schultz 769,493 23,651 R.C.S Finney Jr. 727,483 24,329 Farhan Majeed 1,010,785 23,842 Henry Sun 721,436 23,985 Rawn Salender 663,702 23,842 Form 990, Part VIII, IX, and X Consolidation Total Revenue Per 990 Entity Contributions Program Invest/Rental Other and g/l UMMS 52-1362793 10,758,011 1,424,000,866 12,642,480 12,133,967 UMMRSS LLC 45-5565991 - 800,924 - - UMRPS LLC 45-5559036 - - - 3,593,026 UMSJP LLC 30-0755741 - - - 1,533,792 UMSJMG LLC 37-1704041 - 32,601,519 - 8,049,275 UMSJO LLC 32-0391006 - 22,276,882 - 92,978 UMSJMC 35-2445106 331,111 334,909,146 1,199,532 4,420,323 Total 11,089,122 1,814,589,337 13,842,012 29,823,361 Total Expense Per 990 Entity Program Management Fundraising UMMS 52-1362793 1,250,831,730 158,450,322 - UMMRSS LLC 45-5565991 791,176 59,906 - UMRPS LLC 45-5559036 2,585,945 251,701 - UMSJP LLC 30-0755741 2,023,821 51,120 - UMSJMG LLC 37-1704041 44,814,888 7,450,285 - UMSJO LLC 32-0391006 26,208,186 1,540,491 - UMSJMC 35-2445106 285,204,365 48,132,616 - Total 1,612,460,111 215,936,441 - Balance Sheet- Assets Entity Total Assets UMMS 52-1362793 2,905,496,433 UMMRSS LLC 45-5565991 (689,590) UMRPS LLC 45-5559036 1,875,327 UMSJP LLC 30-0755741 (1,163,439) UMSJMG LLC 37-1704041 (31,122,541) UMSJO LLC 32-0391006 (14,268,761) UMSJMC 35-2445106 287,145,508 Total 3,147,272,937 Balance Sheet- Liabilities and Fund Balance Entity Total Total Total Liabilities Fund Balance UMMS 52-1362793 1,611,670,711 1,293,825,722 2,905,496,433 UMMRSS LLC 45-5565991 241,743 (931,333) (689,590) UMRPS LLC 45-5559036 887,740 987,587 1,875,327 UMSJP LLC 30-0755741 456,441 (1,619,880) (1,163,439) UMSJMG LLC 37-1704041 3,459,273 (34,581,814) (31,122,541) UMSJO LLC 32-0391006 2,713,768 (16,982,529) (14,268,761) UMSJMC 35-2445106 339,402,974 (52,257,466) 287,145,508 Total 1,958,832,650 1,188,440,287 3,147,272,937 Form 990 Review Process Form 990, Part VI, Line 11b THE IRS FORM 990 IS PREPARED AND REVIEWED BY THE ACCOUNTING FIRM OF GRANT THORNTON. ACCOUNTING PERSONNEL IN FINANCE SHARED SERVICES AT THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM GATHER THE INFORMATION NEEDED TO COMPLETE THE RETURN AND INPUT THE DATA INTO THE GRANT THORNTON TAX ORGANIZER, WHICH IS AN EXCEL-BASED SYSTEM. WHEN ALL DATA HAS BEEN ENTERED, THE INFORMATION IS SUBMITTED TO GRANT THORNTON FOR IMPORTATION INTO THEIR TAX SOFTWARE. AT THIS POINT, GRANT THORNTON STAFF MEMBERS REVIEW THE DATA, ASK FOR ADDITIONAL INFORMATION IF NEEDED AND PREPARE THE TAX RETURN. EACH RETURN IS REVIEWED AT SEVERAL LEVELS AT GRANT THORNTON INCLUDING THE TAX PARTNER. AFTER THEIR REVIEW PROCESS, A DRAFT RETURN IS SENT TO THE ACCOUNTING STAFF AT UMMS FOR AN IN-HOUSE REVIEW. UPON COMPLETION OF THE IN-HOUSE REVIEW, GRANT THORNTON IS INSTRUCTED TO MAKE ANY NECESSARY CHANGES AND TO PREPARE THE FINAL TAX RETURN. THE FINAL RETURN UNDERGOES ANOTHER REVIEW BY THE ACCOUNTING STAFF AT FINANCE SHARED SERVICES AND IS ALSO REVIEWED BY THE ACCOUNTING MANAGER, THE DIRECTOR OF FINANCIAL REPORTING, THE VICE PRESIDENT OF FINANCE AND THE CFO, WHO SIGNS THE RETURN. PRIOR TO FILING THE IRS FORM 990, THE ORGANIZATION'S BOARD CHAIRMAN, TREASURER, AUDIT COMMITTEE CHAIRMAN, EXECUTIVE COMMITTEE CHAIRMAN OR OTHER MEMBER OF THE BOARD WITH SIMILAR AUTHORITY WILL REVIEW THE IRS FORM 990. AT THE DISCRETION OF THE REVIEWING BOARD MEMBER, SUCH MEMBER WILL BRING ANY ISSUES OR QUESTIONS RELATED TO THE COMPLETED IRS FORM 990 TO THE ATTENTION OF THE BOARD. NOTWITHSTANDING THE ABOVE, A BOARD RESOLUTION IS NOT REQUIRED FOR THE FILING OF THE ORGANIZATION'S IRS FORM 990. EACH BOARD MEMBER IS PROVIDED WITH A COPY OF THE FINAL IRS FORM 990 BEFORE FILING. Conflict of Interest Policy Monitoring & Enforcement Form 990, Part VI, Line 12c THE ORGANIZATION'S OFFICERS, DIRECTORS, EMPLOYEES AND MEDICAL STAFF MEMBERS, AS APPLICABLE, SHALL DISCLOSE CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST BETWEEN THEIR PERSONAL INTERESTS AND THE INTERESTS OF THE ORGANIZATION, OR ANY ENTITY CONTROLLED BY OR OWNED IN SUBSTANTIAL PART BY THE ORGANIZATION. A QUESTIONNAIRE WHICH DISCLOSES POTENTIAL CONFLICTS OF INTEREST IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THE GENERAL COUNSEL OF THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM CORPORATION (UMMSC) REVIEWS THE RESPONSES FOR UMMSC AND JAMES LAWRENCE KERNAN HOSPITAL. THE CEO OR CFO OF EACH OF THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM REVIEWS THE RESPONSES FOR THOSE ENTITIES. THE GENERAL COUNSEL, IN CONSULTATION WITH THE AUDIT COMMITTEE, IF NECESSARY, WOULD DETERMINE IF A CONFLICT OF INTEREST EXISTED FOR UMMSC, AND JAMES LAWRENCE KERNAN HOSPITAL. WITH RESPECT TO THE OTHER ENTITIES IN THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM, THE GENERAL COUNSEL MAY BE CALLED FOR CONSULT. IF SO, THE GENERAL COUNSEL MAY CONSULT THE AUDIT COMMITTEE, IF NECESSARY. WHENEVER A CONFLICT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE NATURE OF THE CONFLICT OR POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED IN WRITING TO THE ORGANIZATION'S BOARD, BOARD COMMITTEE, AN OFFICER OF THE ORGANIZATION OR OTHER APPROPRIATE EXECUTIVE. SUCH INDIVIDUAL HAVING A POTENTIAL CONFLICT OF INTEREST SHALL PLAY NO ROLE ON BEHALF OF THE ORGANIZATION, OR ANY ORGANIZATION CONTROLLED OR SUBSTANTIALLY OWNED, IN ANY TRANSACTION IN WHICH A CONFLICT EXISTS. ALL INVITATIONS FOR BIDS, PROPOSALS OR SOLICITATIONS FOR OFFERS INCLUDE THE FOLLOWING PROVISION: ANY VENDOR, SUPPLIER OR CONTRACTOR MUST DISCLOSE ANY ACTUAL OR POTENTIAL TRANSACTION WITH ANY ORGANIZATION OFFICER, DIRECTOR, EMPLOYEE OR MEMBER OF THE MEDICAL STAFF, INCLUDING FAMILY MEMBERS WITHIN FIVE DAYS OF THE TRANSACTION. FAILURE TO COMPLY WITH THIS PROVISION IS A MATERIAL BREACH OF AGREEMENT. IN ADDITION, A BOARD DISCLOSURE REPORT IS FILED WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION ON AN ANNUAL BASIS SHOWING ANY BUSINESS TRANSACTIONS BETWEEN THE BOARD MEMBERS AND THE ORGANIZATION. Process for Determining Compensation Form 990, Part VI, Lines 15a and 15b THE ORGANIZATION DETERMINES THE EXECUTIVE COMPENSATION PAID TO ITS EXECUTIVES IN THE FOLLOWING MANNER PRESCRIBED IN THE IRS REGULATIONS: EXECUTIVE COMPENSATION PACKAGES ARE DETERMINED BY A COMMITTEE OF THE BOARD THAT IS COMPOSED ENTIRELY OF BOARD MEMBERS WHO HAVE NO CONFLICT OF INTEREST. THE COMMITTEE ACQUIRES CREDIBLE COMPARABILITY MARKET DATA CONCERNING THE COMPENSATION PACKAGES OF SIMILARLY SITUATED EXECUTIVES. THE COMMITTEE CAREFULLY REVIEWS THAT DATA, THE EXECUTIVE'S PERFORMANCE AND THE PROPOSED COMPENSATION PACKAGES DURING THE DECISION MAKING PROCESS. THE COMMITTEE MEMORIALIZES ITS DELIBERATIONS IN DETAILED MINUTES REVIEWED AND ADOPTED AT THE NEXT-FOLLOWING MEETING. THE COMMITTEE SEEKS AN OPINION OF COUNSEL THAT IT HAS MET THE REQUIREMENTS OF THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THIS PROCESS IS USED TO DETERMINE THE COMPENSATION PACKAGES FOR ALL MANAGEMENT EMPLOYEES FROM THE VICE PRESIDENT LEVEL AND UP. How Documents are Made Available to the Public Form 990, Part VI, Line 19 IN GENERAL, FINANCIAL AND TAX INFORMATION RELATING TO THE ORGANIZATION IS DEEMED PROPRIETARY AND NOT SUBJECT TO DISCLOSURE UPON REQUEST. HOWEVER, SPECIFIC PROVISIONS OF FEDERAL AND STATE LAW REQUIRE THE ORGANIZATION TO DISCLOSE CERTAIN LIMITED FINANCIAL AND TAX DATA UPON A SPECIFIC REQUEST FOR THAT INFORMATION. REQUESTS FOR FORM 990 AND FORM 1023: A REQUESTOR SEEKING TO REVIEW AND/OR OBTAIN A COPY OF THE ORGANIZATION'S IRS FORM 990 OR FORM 1023 AS FILED WITH THE INTERNAL REVENUE SERVICE, INCLUDING ALL SCHEDULES AND ATTACHMENTS, MAY APPEAR IN PERSON OR SUBMIT A WRITTEN REQUEST. THE MOST RECENT THREE YEARS OF IRS FORM 990 MAY BE REQUESTED. IF THE REQUESTER APPEARS IN PERSON, THE INDIVIDUAL IS DIRECTED TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION AND THE FORM 990 AND/OR FORM 1023 ARE MADE AVAILABLE FOR INSPECTION. THE INDIVIDUAL IS PERMITTED TO REVIEW THE RETURN, TAKE NOTES AND REQUEST A COPY. IF REQUESTED, A COPY IS PROVIDED ON THE SAME DAY. A NOMINAL FEE IS CHARGED FOR MAKING THE COPIES. THE ORGANIZATION MAY HAVE AN EMPLOYEE PRESENT DURING THE PUBLIC INSPECTION OF THE DOCUMENT. WRITTEN REQUESTS FOR AN ENTITY'S FORM 990 OR FORM 1023 ARE DIRECTED IMMEDIATELY TO THE OFFICE OF THE CHIEF FINANCIAL OFFICER FOR THE ORGANIZATION. THE REQUESTED COPIES ARE MAILED WITHIN 30 DAYS OF THE REQUEST. REPRODUCTION FEES AND MAILING COSTS ARE CHARGED TO THE REQUESTOR. CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS: IF THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL PUBLIC DISCLOSURE RULES (OR STATE PUBLIC DISCLOSURE RULES), THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS APPLICABLE LAW MAY REQUIRE. OTHERWISE, THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT. Reconciliation of Net Assets Form 990, Part XI, Line 9 Capital transfer- MGH $ (5,081,000) Change Fair Value- Interest rate swap (19,423,000) Net assets Released from Restrictions for purchases 14,669,000 Change in Economic/Beneficial Interest in Net Assets of Related Organizations (2,170,000) Change in Unrestricted Net Assets (UMMC, IHL, Elim, Ecare) 938,808 Change in Ownership of Nonconsolidated Subsidiaries (234,000) Other Changes in Net Assets (1,321,825) -------------- Total $ (12,622,017) HOURS ON RELATED ENTITY PART VII, SECTION A, COL (B) THE UNIVERSITY OF MARYLAND MEDICAL SYSTEM (UMMS) IS A MULTI-ENTITY HEALTH CARE SYSTEM THAT INCLUDES 11 ACUTE CARE HOSPITALS, 1 ACUTE CARE HOSPITAL OWNED IN A JOINT VENTURE ARRANGEMENT AND VARIOUS SUPPORTING ENTITIES. A NUMBER OF INDIVIDUALS PROVIDE SERVICES TO VARIOUS ENTITIES WITHIN THE SYSTEM. IN GENERAL, THE OFFICERS AND KEY EMPLOYEES OF UMMS AVERAGE IN EXCESS OF 40 HOURS PER WEEK SERVING THE DIFFERENT ENTITIES THAT COMPRISE UMMS. 36 S Paca Street LLC 36 S Paca Street Baltimore MD 21211 562544990 Rental MD 1087000 9697000 UMMSC University of Maryland Ecare LLC 250 W Pratt Street Baltimore MD 21201 461441270 Healthcare MD 2936000 1774000 UMMSC SJMC Physicians LLC 7601 Osler Drive Towson MD 20204 364734065 Healthcare MD 0 0 UMMSC Univ of MD Med Reg Supplier Services 7601 Osler Drive Towson MD 21204 455565991 Healthcare MD 800924 -689589 UMMSC Univ of MD Med Reg Prof Services 7601 Osler Drive Towson MD 21204 455559036 Healthcare MD 3593026 1875000 UMMSC UMSJ Properties LLC 7601 Osler Drive Towson MD 21204 300755741 Rental MD 1533792 -1163439 UMMSC Univ of MD St Joseph Medical Center LLC 7601 Osler Drive Towson MD 21204 352445106 Healthcare MD 340860112 263705637 UMMSC Univ of MD St Joseph Medical Group LLC 7601 Osler Drive Towson MD 21204 371704041 Healthcare MD 40650794 -31122541 UMMSC Univ of MD St Joseph Orthopaedics LLC 7601 Osler Drive Towson MD 21204 320391006 Healthcare MD 22369860 -14268761 UMMSC OLP LLC 7601 Osler Drive Towson MD 21204 Healthcare MD 0 0 UMMSC University of MD Medical Center LLC 250 W Pratt Street Baltimore MD 21201 320443777 Healthcare MD 1458811090 2906094433 UMMSC University of MD Health Ventures LLC 250 W Pratt Street Baltimore MD 21201 474794292 Healthcare MD 0 0 UMMSC UMRMC I Inc 250 W Pratt Street Baltimore MD 21201 Healthcare MD 0 0 UMMSC UMRMC LLC 250 W Pratt Street Baltimore MD 21201 Healthcare MD 0 0 UMMSC UMMC I LLC 250 W Pratt Street Baltimore MD 21201 383945516 Healthcare MD 0 0 UMMSC Baltimore Washington Emergency Phys Inc 301 Hospital Drive Glen Burnie MD 21061 521756326 Healthcare MD 501(c)(3) 11A UMBWMS false Baltimore Washington Healthcare Services 301 Hospital Drive Glen Burnie MD 21061 521830243 Healthcare MD 501(c)(3) 11A UMBWMS false Baltimore Washington Medical Center Inc 301 Hospital Drive Glen Burnie MD 21061 520689917 Healthcare MD 501(c)(3) 03 UMBWMS false UMD Baltimore Washington Medical Center 301 Hospital Drive Glen Burnie MD 21061 521830242 Healthcare MD 501(c)(3) 11A UMMSC true BW Medical Center Foundation Inc 301 Hospital Drive Glen Burnie MD 21061 521813656 Fundraising MD 501(c)(3) 11C UMBWMS false North Arundel Development Corporation 301 Hospital Drive Glen Burnie MD 21061 521318404 Real Estate MD 501(c)(2) NCC false North County Corporation 301 Hospital Drive Glen Burnie MD 21061 521591355 Real Estate MD 501(c)(2) UMBWMS false Shipleys Choice Medical Park Inc 22 South Greene Street Baltimore MD 21201 043643849 Real Estate MD 501(c)(2) NCC false Chester River Health Foundation Inc 100 Brown Street Chestertown MD 21620 521338861 Fundraising MD 501(c)(3) 08 UMSRH false Univ of MD Shore Regional HealthInc 100 Brown Street Chestertown MD 21620 522046500 Healthcare MD 501(c)(3) 11A UMMSC true Chester River Hospital Center 100 Brown Street Chestertown MD 21620 520679694 Healthcare MD 501(c)(3) 03 UMSRH false Chester River Manor Inc 200 Morgnec Road Chestertown MD 21620 526070333 Healthcare MD 501(c)(3) 09 UMSRH false Maryland General Clinical Practice Group 827 Linden Avenue Baltimore MD 21201 521566211 Healthcare MD 501(c)(3) 11B UMMTH false Maryland General Comm Health Foundation 827 Linden Avenue Baltimore MD 21201 522147532 Fundraising MD 501(c)(3) 11C UMMTH false University of Maryland Midtown Health I 827 Linden Avenue Baltimore MD 21201 521175337 Healthcare MD 501(c)(3) 11B UMMSC true Maryland General Hospital Inc 827 Linden Avenue Baltimore MD 21201 520591667 Healthcare MD 501(c)(3) 03 UMMTH false Care Health Services Inc 219 South Washington Street Easton MD 21601 521510269 Healthcare MD 501(c)(3) 09 UMSRH false Dorchester General Hospital Foundation 219 South Washington Street Easton MD 21601 521703242 Fundraising MD 501(c)(3) 11D UMSRH false Memorial Hospital Foundation Inc 219 South Washington Street Easton MD 21601 521282080 Fundraising MD 501(c)(3) 11A UMSRH false UM Community Medical Group Inc 920 Elkridge Landing Road Linthicum MD 21090 521874111 Healthcare MD 501(c)(3) 03 UMMSC true Shore Health System Inc 219 South Washington Street Easton MD 21601 520610538 Healthcare MD 501(c)(3) 03 UMMSC false James Lawrence Kernan Hosp Endow Fd 2200 Kernan Drive Baltimore MD 21207 237360743 Fundraising MD 501(c)(3) 11B UMMSC false James Lawrence Kernan Hospital Inc 2200 Kernan Drive Baltimore MD 21207 520591639 Healthcare MD 501(c)(3) 03 UMMSC true UMMS Foundation Inc 22 South Greene Street Baltimore MD 21201 522238893 Fundraising MD 501(c)(3) 11A UMMSC true University of Maryland Charles Regional PO Box 1070 La Plata MD 20646 522155576 Healthcare MD 501(c)(3) 11C UMMSC true Civista Medical Center Inc PO Box 1070 La Plata MD 20646 520445374 Healthcare MD 501(c)(3) 03 UMCRH false Charles Regional Medical Center Foundati PO Box 1070 La Plata MD 20646 521414564 Fundraising MD 501(c)(3) 11A UMCRH false Charles Regional Medical Center Auxiliar PO Box 1070 La Plata MD 20646 521131193 Fundraising MD 501(c)(3) 11A UMCRH false Univ of MD St Joseph Foundation Inc 7601 Osler Drive Towson MD 21204 521681044 Fundraising MD 501(c)(3) 11A UMMSC true Harford Memorial Hospital Inc 520 Upper Chesapeake Dr Bel Air MD 21014 520591484 Healthcare MD 501(c)(3) 03 UMUCHS false UCH Legacy Funding Corporation 520 Upper Chesapeake Dr Bel Air MD 21014 520882914 Fundraising MD 501(c)(3) 11A UMUCHS false Univ of MD Upper Chesapeake Health Sys 520 Upper Chesapeake Dr Bel Air MD 21014 521398513 Healthcare MD 501(c)(3) 11C;III-FI UMUCHS true Upper Chesapeake Health Foundation Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521398507 Fundraising MD 501(c)(3) 11A UMUCHS false Upper Chesapeake Medical Center Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521253920 Healthcare MD 501(c)(3) 03 UMUCHS false Upper Chesapeake Medical Services Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521501734 Healthcare MD 501(c)(3) 09 UMUCHS false Upper Chesapeake Properties Inc 520 Upper Chesapeake Dr Bel Air MD 21014 521907237 Real Estate MD 501(c)(2) UMUCHS false Upper Ches Residential Hospice House In 520 Upper Chesapeake Dr Bel Air MD 21014 260737028 Hospice MD 501(c)(3) 07 UMUCHS false Upper ChesapeakeSt Joe's Home CareInc 520 Upper Chesapeake Dr Bel Air MD 21014 521229742 Hospice MD 501(c)(3) 09 UMUCHS false UMSJ Health System LLC 7601 Osler Drive Towson MD 21204 460797956 Healthcare MD 501(c)(3) UMMSC true Arundel Physicians Associates LLC 301 Hospital Drive Glen Burnie MD 20161 522000762 Healthcare MD NA Baltimore Washington Imaging LLC 301 Hospital Drive Glen Burnie MD 20161 200806027 Healthcare MD NA 0 NAHSunrise of Severna Park LLC 301 Hospital Drive Glen Burnie MD 20161 541810729 Healthcare MD NA North Arundel Senior Living LLC 301 Hospital Drive Glen Burnie MD 20161 541810728 Healthcare MD NA Innovative Health LLC 29165 Canvasback Drive Suite 100 Easton MD 21601 521997287 Billing MD NA Central Maryland Radiology Oncology LLC 10710 Charter Drive Columbia MD 21044 270879418 Healthcare MD UMMSC RELATED 3303000 5284000 false false 0.50000 Universitycare LLC 22 South Greene Street Baltimore MD 21201 521914892 Healthcare MD UMMSC RELATED 2964600 611100 false 0 false 0.90000 O'Dea Medical Arts Limited Partnership 7601 Osler Drive Towson MD 21204 521682964 Rental MD UMMSC related 1903280 10157240 false 0 false 0.74000 Advanced Imaging at St Joseph Medical C 7601 Osler Drive Towson MD 21204 521958002 Healthcare MD NA 0 0 false false 0.51000 UCHSUMMS Real Estate Trust 520 Upper Chesapeake Dr Bel Air MD 21014 276803540 Real Estate MD NA 0 0 false false 0.80000 Arundel Physicians Associates Inc 301 Hospital Drive Glen Burnie MD 21061 521992649 Healthcare MD na C Corp Baltimore Washington Health Enterprises 301 Hospital Drive Glen Burnie MD 21061 521936656 Healthcare MD na C Corp BW Professional Services Inc 301 Hospital Drive Glen Burnie MD 21061 521655640 Healthcare MD na c corp Univ of Maryland Charles Regional Care P PO Box 1070 La Plata MD 20646 522176314 Healthcare MD na C Corp University Midtown Prof Center A Condom 827 Linden Avenue Baltimore MD 21201 521891126 Real Estate MD ummsc C Corp NA Executive Building Condo Assn Inc 301 Hospital Drive Glen Burnie MD 21061 Real Estate MD na C Corp Terrapin Insurance Company 980129232 Insurance UMMS C Corp 19799500 99853000 0.50000 false UMMS Self Insurance Trust 22 South Greene Street Baltimore MD 21201 526315433 Insurance MD UMMS Trust 21987000 114726000 0.50000 false Upper Chesapeake Insurance Company PO Box 1109 Grand Cayman Cayman Islands CJ 980468438 Captive Insurance CJ UMUCHS ltd 1.00000 Upper Chesapeake Health Ventures Inc 520 Upper Chesapeake Dr Bel Air MD 21014 522031264 Healthcare MD umms C Corp 397000 3322000 1.00000 false Upper Chesapeake Medical Center Land Con 520 Upper Chesapeake Dr Bel Air MD 21014 770674478 Real Estate MD UC Med Crt C Corp 1.00000 Upper Chesapeake Medical Office Building 520 Upper Chesapeake Dr Bel Air MD 21014 521946829 Real Estate MD UC Hlth Vent C Corp 1.00000 false true false true false false false false false false true true false false false false true true false James L Kernan Hospital Inc l 330516 FMV James L Kernan Hospital Inc q 11035173 FMV Maryland General Hospital Inc q 18438671 FMV Maryland General Hospital Inc r 1633171 FMV Baltimore Washington Medical Center Inc q 29632691 FMV Shore Health System Inc q 17717448 FMV Shore Health System Inc p 245592 FMV Chester River Hospital Center Inc q 3785398 FMV Charles Regional Medical Center Inc q 8416193 FMV Charles Regional Medical Center Inc r 2500000 FMV Umms Foundation Inc c 6814512 FMV